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Essential Protocols:

Description:

The individual is asked to complete a series of questions about his or her feelings about physical activities and how sure he or she is that he or she will perform physical activities under certain circumstances. The questionnaire includes other questions about how much support the individual receives from family members and friends to participate in physical activity or sports. Almost all the items have five response options in a Likert-type scale with values of 1-5 (e.g., never = 1, many times = 5).

Specific Instructions:

None

Protocol:

The 2001 PACE questionnaire is made available for research purposes only by San Diego State University.

Physical Activity Stages

• Physical activity is any activity that increases your heart rate and makes you get out of breath some of the time.

• Physical activity can be done in sports, playing with friends, or walking to school.

1. In a typical week, how many days do you do physical activity for 60 minutes or more?

Mark the answer that is true for you.

Zero0◯

One1◯

Two2◯

Three3◯

Four4◯

Five5◯

Six or more6+◯

(If you answered between "0" and "4" to question 1, go to question 3.)

(If you answered "5" or "6 or more" to question 1, go to question 2.)

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3. Do you think you will start doing 60 minutes of physical activity 5 or more days a week in the next 6 months?

2. How many months have you been doing 60 minutes of physical activity on 5 or more days per week?

1

◯ No, and I do not intend to in the next six months.

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◯ Less than 6 months

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◯ Yes, I intend to in the next six months.

2

◯ 6 months or more

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◯ Yes, I intend to in the next 30 days.

Physical Activity Change Strategies

The following are activities, thoughts, and feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following.

Many Times

5

PLEASE:

Often

4

* Fill in each circle completely.

Sometimes

3

* Erase all changes completely.

Almost Never

2

Never

1

1. I look for information about physical activity or sports.

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2. I keep track of how much physical activity I do.

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3. I find ways to get around the things that get in the way of being physically active.

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4. I think about how my surroundings affect the amount of physical activity I do. (Surroundings are things like having exercise equipment at home or a park nearby.)

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5. I put reminders around my home to be physically active.

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6. I reward myself for being physically active.

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7. I do things to make physical activity more enjoyable.

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8. I think about the benefits I will get from being physically active.

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9. I try to think more about the benefits of physical activity and less about the hassles of being active.

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10. I say positive things to myself about physical activity.

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11. When I get off track with my physical activity plans, I tell myself I can start again and get right back on track.

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12. I have a friend or family member who encourages me to do physical activity.

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13. I try different kinds of physical activity so that I have more options to choose from.

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14. I set goals to do physical activity.

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15. I make back-up plans to be sure I get my physical activity.

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Physical Activity Pros & Cons

The following statements are different beliefs about physical activity.

Please rate HOW IMPORTANT each statement is to your decision to do physical activity. Use the following scale:

PLEASE:

* Fill in each circle completely.

Extremely Important

5

* Erase all changes completely.

Very Important

4

Moderately Important

3

HOW IMPORTANT IS EACH STATEMENT

Slightly Important

2

TO YOU WHEN DECIDING WHETHER

Not Important

1

OR NOT TO DO PHYSICAL ACTIVITY?

1. I would feel embarrassed if people saw me doing physical activity.

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2. Physical activity would help me stay fit.

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3. My parents would be happy if I did physical activity.

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4. There is too much I would have to learn to do physical activity.

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5. I would feel better about myself if I did physical activity.

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6. I would need too much help from my parents to do physical activity.

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7. I do not like the way physical activity and exercise makes me feel.

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8. I would have fun doing physical activity or playing sports with my friends.

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9. I would have more energy if I did physical activity.

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10. Physical activity takes time away from being with my friends.

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Physical Activity Confidence

There are many things that can get in the way of physical activity. Rate HOW SURE you are that you can do physical activity in each situation. Please answer ALL questions.

I’m sure I can

5

PLEASE:

I probably can

4

* Fill in each circle completely.

Neutral

3

* Erase all changes completely.

I probably can’t

2

I’m sure I can’t

1

1. Do physical activity even when you feel sad or stressed?

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2. Set aside time for physical activity on most days of the week?

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3. Do physical activity even when your family or friends want you to do something else?

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4. Get up early, even on weekends, to do physical activity?

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5. Do physical activity even when you have a lot of schoolwork?

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6. Do physical activity even when it is raining or really hot outside?

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Physical Activity Family Support

During a typical week, how often has a member of your household: (For example, your father, mother, brother, sister, grandparent, or other relatives)

Every day

5

5-6 days

4

3-4 days

3

1-2 days

2

Never

1

1. Watched you participate in physical activity or play sports?

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2. Encouraged you to do sports or physical activity?

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3. Provided transportation to a place where you can do physical activity or play sports?

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4. Done a physical activity or played sports with you?

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Physical Activity Friend Support

During a typical week, how often:

Every day

5

PLEASE:

5-6 days

4

* Fill in each circle completely.

3-4 days

3

* Erase all changes completely.

1-2 days

2

Never

1

1. Do your friends encourage you to do sports or physical activities?

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2. Do your friends do physical activity or play sports with you?

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3. Do your friends or classmates tease you about not being good at physical activities or sports?

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4. Do your friends ask you to walk or bike to school or to a friend’s house?

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5. Do your friends tell you that you are doing well in physical activities or sports?

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Closest Friend Support

5 Friends

4 Friends

3 Friends

2 Friends

1 Friend

0 Friends

6. How many of your five closest friends are physically active on a regular basis?

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Physical Activity Enjoyment

Strongly agree

PLEASE:

Somewhat agree

* Fill in each circle completely.

Neutral

* Erase all changes completely.

Somewhat disagree

Strongly disagree

1. I enjoy doing physical activity.

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Physical Activity Recreation Choices

2. What do you usually do when you have a choice about how you spend recreational time?

Almost always choose activities like TV, reading, listening to music, or computers

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Usually choose activities like TV, reading, listening to music or computers

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Just as likely choose active or inactive recreation

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Usually choose activities like bicycling, dancing, outdoor games or active sports

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Almost always choose activities like bicycling, dancing, outdoor games or active sports

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Physical Activity Environmental Factors

How much do you agree with the following statements?

Strongly agree

5

PLEASE:

Somewhat agree

4

* Fill in each circle completely.

Neutral

3

* Erase all changes completely.

Somewhat disagree

2

Strongly disagree

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1. At home there are enough supplies and pieces of sports equipment (like balls, bicycles, skates) to use for physical activity.

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2. It is difficult to walk or jog in my neighborhood because of things like traffic, no sidewalks, dogs, gangs and so on.

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3. There are playgrounds, parks, or gyms, close to my home or that I can get to easily.

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4. It is safe to walk or jog in my neighborhood during the day.

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Scoring:

Stage of Change

Using the branching scheme:

If physically active 5 to 7 days a week:

Question 2:

1 = Action stage

2 = Maintenance stage.

If physically active 0 to 4 days a week:

Question 3:

1 = Precontemplation stage

2 = Contemplation stage

3 = Preparation stage

Physical Activity Change Strategies

Create a composite strategy score by computing the mean of items 1 to 15.

Variables:

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I look for information about physical activity or sports. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I say positive things to myself about physical activity. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: When I get off track with my physical activity plans, I tell myself I can start again and get right back on track. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I have a friend or family member who encourages me to do physical activity. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I try different kinds of physical activity so that I have more options to choose from. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I set goals to do physical activity. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I make back-up plans to be sure I get my physical activity. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I keep track of how much physical activity I do. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I find ways to get around the things that get in the way of being physically active. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I think about how my surroundings affect the amount of physical activity I do. (Surroundings are things like having exercise equipment at home or a park nearby.) show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I put reminders around my home to be physically active. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I reward myself for being physically active. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I do things to make physical activity more enjoyable. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I think about the benefits I will get from being physically active. show less

feelings people use to help them change their physical activity. Think of any similar experiences you may be having or have had in the past month. Then rate HOW OFTEN you do each of the following: I try to think more about the benefits of physical activity and less about the hassles of being active. show less

member of your household: (For example, your father, mother, brother, sister, grandparent, or other relatives) Provided transportation to a place where you can do physical activity or play sports? show less

Measure Name:

Physical Activity Self Efficacy

Release Date:

October 1, 2015

Definition

This is a measure of a person’s confidence in his or her ability to be physically active on a regular basis.

Purpose

Physical activity self-efficacy is a behavioral factor that can predict whether a person will regularly engage in physical activity and can predict various health outcomes (e.g., quality of life). Physical activity self-efficacy has been found to be a significant mediator in maintaining physical activity behavior.